(a) Any statement of economic interest filed under
this Article shall be on a form prescribed by the Commission. Answers must be
provided to all questions. The form shall include the following information
about the filing person and the filing person's immediate family:

(1) Except as otherwise provided in this subdivision,
the name, current mailing address, occupation, employer, and business of the
filing person. Any individual holding or seeking elected office for which residence
is a qualification for office shall include a home address. A judicial officer
may use a current mailing address instead of the home address on the form
required in this subsection. The filing person may also use the initials
instead of the name of any unemancipated child of the filing person who also
resides in the household of the filing person. If the filing person provides
the initials of an unemancipated child, the filing person shall concurrently
provide the name of the unemancipated child to the Commission. The name of an
unemancipated child provided by the filing person to the Commission shall not
be a public record under Chapter 132 of the General Statutes and is privileged
and confidential.

(2) A list of each asset and liability included in this
subdivision of whatever nature (including legal, equitable, or beneficial
interest) with a value of at least ten thousand dollars ($10,000) owned by the
filing person and the filing person's immediate family, except assets or
liabilities held in a blind trust. This list shall include the following:

a. All real estate located in the State owned wholly
or in part by the filing person or the filing person's immediate family,
including descriptions adequate to determine the location by city and county of
each parcel.

b. Real estate that is currently leased or rented to
or from the State.

c. Personal property sold to or bought from the State
within the preceding two years.

d. Personal property currently leased or rented to or
from the State.

e. The name of each publicly owned company. For
purposes of this sub-subdivision, the term "publicly owned company"
shall not include a widely held investment fund, including a mutual fund,
regulated investment company, or pension or deferred compensation plan, if all
of the following apply:

1. The filing person or a member of the filing
person's immediate family neither exercises nor has the ability to exercise
control over the financial interests held by the fund.

2. The fund is publicly traded, or the fund's assets
are widely diversified.

f. The name of each nonpublicly owned company or
business entity, including interests in sole proprietorships, partnerships,
limited partnerships, joint ventures, limited liability companies, limited
liability partnerships, and closely held corporations.

g. For each company or business entity listed under
sub-subdivision f. of this subdivision, if known, a list of any other companies
or business entities in which the company or business entity owns securities or
equity interests exceeding a value of ten thousand dollars ($10,000).

h. Repealed by Session Laws 2010-169, s. 13(a),
effective January 1, 2011, and applicable to statements of economic interest
filed on or after that date.

i. Recodified as subdivision (a)(16) by Session Laws
2010-169, s. 13(c), effective January 1, 2011, and applicable to statements of
economic interest filed on or after that date.

j. For a vested trust created, established, or
controlled by the filing person of which the filing person or the members of
the filing person's immediate family are the beneficiaries, excluding a blind
trust, the name and address of the trustee, a description of the trust, and the
filing person's relationship to the trust.

k. A list of all liabilities, excluding indebtedness
on the filing person's primary personal residence, by type of creditor and
debtor.

m. A list of all stock options in a company or business
not otherwise disclosed on this statement.

(3) The name of each source (not specific amounts) of
income of more than five thousand dollars ($5,000) received during the previous
year by business or industry type, if that source is not listed under
subdivision (2) of this subsection. Income shall include salary, wages,
professional fees, honoraria, interest, dividends, rental income, and business
income from any source other than capital gains, federal government retirement,
military retirement, or social security income.

(4) If the filing person is a practicing attorney, an
indication of whether the filing person, or the law firm with which the filing
person is affiliated, earned legal fees during the past year in excess of ten
thousand dollars ($10,000) from any of the following categories of legal representation:

a. Administrative law.

b. Admiralty law.

c. Corporate law.

d. Criminal law.

e. Decedents' estates law.

f. Environmental law.

g. Insurance law.

h. Labor law.

i. Local government law.

j. Negligence or other tort litigation law.

k. Real property law.

l. Securities law.

m. Taxation law.

n. Utilities regulation law.

(5) Except for a filing person in compliance under
subdivision (4) of this subsection, if the filing person is a licensed
professional or provides consulting services, either individually or as a
member of a professional association, a list of categories of business and the
nature of services rendered, for which payment for services were charged or
paid during the past year in excess of ten thousand dollars ($10,000).

(6) An indication of whether the filing person, the
filing person's employer, a member of the filing person's immediate family, or
the immediate family member's employer is licensed or regulated by, or has a
business relationship with, the board or employing entity with which the filing
person is or will be associated. This subdivision does not apply to a
legislator, a judicial officer, or that legislator's or judicial officer's
immediate family.

(7) A list of societies, organizations, or advocacy
groups, pertaining to subject matter areas over which the public servant's
agency or board may have jurisdiction, in which the public servant or a member
of the public servant's immediate family is a director, officer, or governing
board member. This subdivision does not apply to a legislator, a judicial
officer, or that legislator's or judicial officer's immediate family.

(8) A list of all things with a total value of over two
hundred dollars ($200.00) per calendar quarter given and received without
valuable consideration and under circumstances that a reasonable person would
conclude that the thing was given for lobbying, if such things were given by a
person not required to report under Chapter 120C of the General Statutes,
excluding things given by a member of the filing person's extended family. The
list shall include only those things received during the 12 months preceding
the reporting period under subsection (d) of this section, and shall include
the source of those things. The list required by this subdivision shall not
apply to things of monetary value received by the filing person prior to the
time the filing person filed or was nominated as a candidate for office, as
described in G.S. 138A-22, or was appointed or employed as a covered person.

(9) A list of any felony convictions of the filing
person, excluding any felony convictions for which a pardon of innocence or
order of expungement has been granted.

(10) Any other information that the filing person
believes may assist the Commission in advising the filing person with regards
to compliance with this Chapter.

(11) A list of any nonprofit corporation or organization
with which associated during the preceding calendar year, including a list of
which of those nonprofit corporations or organizations with which associated do
business with the State or receive State funds and a brief description of the
nature of the business, if known or with which due diligence could reasonably
be known.

(12) A statement of whether the filing person or the
filing person's immediate family is or has been a lobbyist or lobbyist
principal registered under Chapter 120C of the General Statutes within the
preceding 12 months.

(13) A list of all contributions as defined in G.S. 163-278.6(6)
with a cumulative total of more than one thousand dollars ($1,000) made by the
filing person only, during the preceding calendar year, to the candidate or
candidate campaign committee of the covered person as defined in G.S. 138A-3(30)a.
appointing the filing person to the covered board.

(14) A statement indicating "Yes" or
"No" as to whether the filing person engaged in each of the following
activities during the preceding calendar year, with respect to or on the behalf
of the candidate or candidate campaign committee of the covered person as
defined in G.S. 138A-3(30)a. appointing the filing person: (i) collected
contributions from multiple contributors, took possession of such multiple
contributions, and transferred or delivered those collected multiple
contributions, (ii) hosted a fund-raiser in the filing person's residence or
place of business, or (iii) volunteered for campaign-related activity. This
subdivision only applies to filing persons in the following categories:

a. A public servant, or a prospective appointee to, as
defined in G.S. 138A-3(30)c.

b. A judicial officer that serves on, or a prospective
appointee to, the Supreme Court, the Court of Appeals, the superior court, or
the district court.

c. A covered person serving on, or a prospective
appointee to, one of the following panels or boards:

1. Alcoholic Beverage Control Commission.

2. Coastal Resources Commission.

3. State Board of Education.

4. State Board of Elections.

5. Division of Employment Security.

6. Environmental Management Commission.

7. Industrial Commission.

8. State Human Resources Commission.

9. Rules Review Commission.

10. Board of Transportation.

11. Board of Governors of the University of North
Carolina.

12. Utilities Commission.

13. Wildlife Resources Commission.

(15) The name of each business with which associated that
the filing person or a member of the filing person's immediate family is an
employee, director, officer, partner, proprietor, or member or manager.

(16) For any company or business entity listed under
subdivision (15) of this subsection and sub-subdivisions f. and g. of subdivision
(2) of this subsection, if known, a statement whether that company or business
entity has any material business dealings or business contracts with the State,
or is regulated by the State, including a brief description of the business
activity.

(b) The Supreme Court, the Committee, constitutional
officers of the State, heads of principal departments, the Board of Governors
of The University of North Carolina, the State Board of Community Colleges,
other boards, and the appointing authority or employing entity may require a
filing person to file supplemental information in conjunction with the filing
of that filing person's statement of economic interest. These supplemental
filings requirements shall be filed with the Commission and included on the
forms to be filed with the Commission. The Commission shall evaluate the
supplemental forms as part of the statement of economic interest. The failure
to file supplemental forms shall be subject to the provisions of G.S. 138A-25.

(c) Each statement of economic interest shall contain
a certification by the filing person that the filing person has read the
statement and that, to the best of the filing person's knowledge and belief,
the statement is true, correct, and complete. The filing person's certification
also shall provide that the filing person has not transferred, and will not
transfer, any asset, interest, or other property with the intent to conceal it
from disclosure while retaining an equitable interest therein.

(d) All information provided in the statement of
economic interest shall be current as of the last day of December of the year
preceding the date the statement of economic interest was due.

(e) The Commission shall prepare a written evaluation
of each statement of economic interest relative to conflicts of interest and
potential conflicts of interest. This subsection does not apply to statements
of economic interest of legislators and judicial officers. The Commission shall
submit the evaluation to all of the following:

(1) The filing person who submitted the statement.

(2) The head of the agency in which the filing person
serves.

(3) The Governor for gubernatorial appointees and
employees in agencies under the Governor's authority.

(f) The Commission shall prepare a written evaluation
of each statement of economic interest for nominees of the Board of Governors
of The University of North Carolina elected pursuant to G.S. 116-6, and
nominees of the State Board of Community Colleges elected pursuant to G.S. 115D-2.1
within seven days of the submission of the completed statement of economic
interest to the Commission. (2006-201, s. 1; 2007-29,
s. 1; 2007-348, s. 34; 2008-187, s. 32; 2008-213, ss. 67-72(a), 73, 74, 74.5,
91; 2009-549, s. 14; 2009-570, s. 45; 2010-169, ss. 13(a)-(d), 17(q), 22(b);
2011-401, s. 3.18; 2013-382, s. 9.1(c).)